Active NPI
Jordan King
- Psychiatric/Mental Health Nurse Practitioner
- Surprise, AZ
National Provider Identifier
1740198985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 275723
- Practice address
- 14502 N 152ND CT
Surprise, AZ 85379-7031 - Phone
- (602) 903-5912
- NPI assigned
- Aug 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 275723 | AZ | Primary |
Addresses
Primary practice location
14502 N 152ND CT
Surprise, AZ 85379-7031
Mailing address
14502 N 152ND CT
Surprise, AZ 85379-7031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1740198985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 N 152ND CT",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853797031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 N 152ND CT",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853797031",
"telephone_number": "602-903-5912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "275723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.